Abstract：
:Anastomotic leakage represents a major complication of gastrointestinal surgery, leading to increased postoperative morbidity; it the foremost cause of mortality after intestinal resection. Identification of risk factors is essential for the prevention of AL. AL can present with various clinical pictures, ranging from the absence of symptoms to life-threatening septic shock. Contrast-enhanced CT scan is the most complete investigation to define AL and its consequences. Early and optimal multidisciplinary management is based on three options: medical management, radiologic or endoscopic intervention, or surgical re-intervention. Prompt treatment should help decrease postoperative morbidity and mortality, with the choice depending on the septic status of the patient. If the patient is asymptomatic, treatment can be medical only, coupled with close surveillance. Interventional management is indicated when the fistula is symptomatic but not life-threatening. On the other hand, when the vital prognosis is engaged, surgery is indicated, emergently, associated with intensive care. Even more than their prevention, early and appropriate management counts most to decrease their consequences.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Girard E,Messager M,Sauvanet A,Benoist S,Piessen G,Mabrut JY,Mariette Cdoi
10.1016/j.jviscsurg.2014.10.004subject
Has Abstractpub_date
2014-12-01 00:00:00pages
441-50issue
6issn
1878-7886pii
S1878-7886(14)00144-1journal_volume
151pub_type
杂志文章,评审abstract：OBJECTIVE OF THE STUDY:Skin-sparing mastectomies (SSM) have gained acceptance among teams performing immediate breast reconstruction because this technique provides the best cosmetic outcome. Nevertheless, in France, concerns have been raised that limited skin excision during mastectomy could result in an increased ris...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2013.09.011
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en Y gastric bypass (LRYGB) are commonly performed, but few studies have shown superiority of one strategy over the other. OBJECTIVE:Simultaneously compare LSG and LRYGB in terms of weight loss and morbimortality over a 36-month follow-up period. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jviscsurg.2019.04.013
更新日期：2019-12-01 00:00:00
abstract：INTRODUCTION:Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2018.10.005
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To define the cost of pancreatectomies and to identify factors associated with increased hospital costs after pancreatic resection. METHODS:All patients undergoing pancreatic surgery in our department between January 2008 and December 2014 were included. All complications occurring during hospitalization or ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.04.003
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Few data are available on the management of elderly rectal cancer patients, and especially on the ability to provide optimal oncological treatment. The aim of this study was to determine the feasibility and results of multimodality treatment for rectal cancer in patients 75years and older after simplified co...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.06.005
更新日期：2018-02-01 00:00:00
abstract：:Whereas surgical resection is the only curative treatment for liver tumors, effective treatment for isolated unresectable lesions when there is tumor progression in spite of several lines of chemotherapy remains to be found. We report herein two cases of patients treated by a 1-hour Hyperthermic Isolated Liver Perfusi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.10.018
更新日期：2013-02-01 00:00:00
abstract：:Erythromycin (ER) is an antibiotic with prokinetic activity. This property has led to its clinical use to improve gastric emptying in patients with gastroparesis. Several papers have reported the effectiveness of ER in such patients; however few of these studies have been well-conducted methodologically with evaluatio...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2010.06.001
更新日期：2010-04-01 00:00:00
abstract：:The Covid-19 pandemic has markedly changed our practices. This article analyses the risks of contamination among healthcare professionals (HCPs) during laparoscopic surgery on patients with Covid-19. Harmful effects of aerosols from a pneumoperitoneum, with the virus present, have not yet been quantified. Measures for...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2020.04.010
更新日期：2020-06-01 00:00:00
abstract：:Mortality associated with pelvic and perineal trauma (PPT) has fallen from 25% to 10% in the last decade thanks to progress accomplished in medical, surgical and interventional radiology domains (Dyer and Vrahas, 2006) [1]. The management strategy depends on the hemodynamic status of the patient (stable, unstable or e...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.06.004
更新日期：2012-08-01 00:00:00
abstract：:The decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.01.004
更新日期：2018-06-01 00:00:00
abstract：INTRODUCTION:The mild pancreatic tumors are more and more treated by central pancreatectomy (CP) in alternative with the widened pancreatectomies. Indeed, their morbidity is lesser but they are however burdened by a rate of important postoperative fistulas. The purpose of our study is to compare pancreatico-jejunal ana...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2012.01.002
更新日期：2012-04-01 00:00:00
abstract：:Low-Phospholipid Associated Cholelithiasis (LPAC) is a genetic disease responsible for the development of intrahepatic lithiasis. It is associated with a mutation of the ABCB4 gene which codes for protein MDR3, a biliary carrier. As a nosological entity, it is defined by presence of two of the three following criteria...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2019.02.006
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:There have been no solid data regarding whether patients with aortic calcification (AC) who have undergone colorectal surgery are at increased risk for anastomotic leakage. Our study aim to investigate the impact of AC on anastomotic leakage (AL) and postoperative morbidity after colorectal resection. METHO...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2016.03.007
更新日期：2016-08-01 00:00:00
abstract：INTRODUCTION:Postgraduate training is a time-honored entity, the goal of which was to develop and ensure the acquisition of new medical knowledge for the medical profession. MATERIAL AND METHODS:The main goal of this retrospective study is to analyze the current situation of postgraduate training in surgical disciplin...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.03.004
更新日期：2020-06-01 00:00:00
abstract：:Pneumatosis cystoides intestinalis is generally benign in course and sometimes, if cysts ruptured, behave as the not uncommon cause of free air in acute abdomen. In our case, we illustrate ruptured isolated cysts of pneumatosis cystoides intestinalis are responsible for pneumoperitoneum in a 94-year-old male patient. ...
journal_title：Journal of visceral surgery
pub_type：
doi：10.1016/j.jviscsurg.2018.09.006
更新日期：2019-04-01 00:00:00
abstract：:Intestinal transplantation (IT) can involve small bowel transplantation alone, or be associated with liver or multivisceral transplantation. Although IT is the radical treatment for intestinal failure, home parenteral nutrition (PN) remains the treatment of choice for this disease. Indications for IT are still debated...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.10.008
更新日期：2012-12-01 00:00:00
abstract：GOAL:Present and analyze the implementation of laparoscopic teaching program at the Surgical School of Paris, introduced in 2008. MATERIAL AND METHODS:Evaluation of the technical capacities of 43 students in six basic tests after four, one and a half hour training sessions with a pelvic-trainer. RESULTS:The time nece...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2010.10.009
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION:Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.01.004
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:The goal of this study was to evaluate the immediate and long-term outcomes after the combined Frey and Beger procedure for chronic pancreatitis. MATERIAL AND METHODS:From March 2008 to July 2011, 50 consecutive patients with chronic pancreatitis, confirmed by pathology, underwent the combined Frey and Be...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.12.003
更新日期：2015-04-01 00:00:00
abstract：:The circumportal pancreas (CPP) is a normal though rare anatomical variant of the pancreas resulting from fusion of ventral and dorsal pancreatic buds during embryogenesis. Preoperative imaging in a 69-year-old man displayed the presence of a CPP completely encasing the portal vein. For pancreatic resection, missing a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.02.001
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To compare the effectiveness of tube sigmoidostomy and sigmoidopexy as effective treatment options for patients with acute uncomplicated sigmoid volvulus. METHODS:The records of 72 patients with acute uncomplicated sigmoid volvulus with obstruction who were treated by tube sigmoidostomy (Group I: n=32) and s...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2011.02.003
更新日期：2011-04-01 00:00:00
abstract：:Mesenteric hernia is a frequent cause of intestinal obstruction in childhood but is exceptional in the adult. We describe a case in a young adult without any remarkable history who presented with an acute abdomen and intestinal obstruction. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.06.007
更新日期：2018-09-01 00:00:00
abstract：:Two principal branches from the aorta provide the colonic blood supply: the superior and inferior mesenteric arteries. There are numerous anatomical variations, which the surgeon must fully understand before embarking on any colonic surgery. A good knowledge of these variations is particularly important when the patie...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.02.002
更新日期：2016-04-01 00:00:00
abstract：:Complications related to energy sources in the operating room are not well-recognized or published, despite occasionally dramatic consequences for the patient and the responsible surgeon. The goal of this study was to evaluate the risks and consequences related to use of energy sources in the operating room. PATIENTS...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.12.003
更新日期：2018-09-01 00:00:00
abstract：INTRODUCTION:Post-operative adhesions after gastrointestinal surgery are responsible for significant morbidity and constitute an important public health problem. The aim of this study was to review the surgical literature to determine the incidence, consequences and the variety of possible countermeasures to prevent ad...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2011.11.006
更新日期：2012-04-01 00:00:00
abstract：:Abdominal pelvic radiation therapy can induce acute or chronic lesions in the small bowel wall, called radiation enteritis. Treatment of acute radiation enteritis is essentially symptomatic; symptoms regress when radiation is discontinued. Conversely, late toxicity can occur up to 30 years after discontinuation of rad...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.08.012
更新日期：2020-12-01 00:00:00
abstract：:Multidisciplinary management of infra-peritoneal rectal cancer has pushed back the frontiers of sphincter preservation, without impairment of carcinological outcome. However, functional intestinal sequelae, grouping together several symptoms known under the name of anterior resection syndrome (ARS), have emerged and b...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.03.006
更新日期：2018-10-01 00:00:00
abstract：:Rectal linitis is a rare tumor with a poor prognosis that may be seen as a primary tumor or in association with gastric linitis plastica. In this article we describe the morphological appearance on CT and magnetic resonance imaging, which is typical. We also discuss the oncologic management, which is not well defined,...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.09.005
更新日期：2015-02-01 00:00:00
abstract：:Obesity has become a major public health concern. More and more patients with substantial obesity require surgery including complex hepatobiliary interventions. The morphology of these patients can make surgery difficult, especially in terms of exposure. We report the case of an obese patient who required a left hemih...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.05.003
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Metabolic surgery is now considered as a therapeutic option in type 2 diabetes (T2D). However, few data are available regarding perioperative management of T2D. OBJECTIVES:To assess current practice among bariatric teams regarding perioperative management of T2D in order to propose guidelines. METHODS:A tw...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.07.012
更新日期：2020-02-01 00:00:00
